# ALEX MAROSE DDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alex Marose DDS, Marose Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013537604
- **Authorized official:** ALEXANDER V MAROSE (OWNER)
- **Authorized official phone:** (949) 874-0025

## Contact information

- **Practice address:** 1855 N HACIENDA BLVD, LA PUENTE, CA 91744-1125
- **Practice address phone:** (626) 699-6115
- **Mailing address:** 1855 N HACIENDA BLVD, LA PUENTE, CA 91744-1125
- **Mailing address phone:** (626) 699-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2020
- **Last updated:** 05/15/2020